IndividualActive
Isimenmen Etakibuebu, DNP, M.ED., APRN
NPI 1679102883 · Psychiatric/Mental Health Nurse Practitioner · Austin, TX
Provider details
- NPI number
- 1679102883
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, M.ED., APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 988738 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1631 E 2nd St Ste D
Austin, TX 78702-4491
Phone: (512) 804-3663
Fax: (512) 476-1469
Approximate (ZIP-level) locationGet directions
Mailing address
1631 E 2nd St Ste D
Austin, TX 78702-4491
Registry dates
- Enumerated
- 2020-04-08
- Last updated
- 2025-01-19
- Certified
- 2025-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.